| NPI | 1043468184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE YOST Member 610-703-4502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN001564) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PA DN001564) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: PA DN001564) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |